Health Payer Intelligence Reputation

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Health Plan Policy, Strategy, and Innovation News and Insights

(6 days ago) WebStay informed on health payer trends, policies, and strategies. Dive into insights on health plan design and member experience. better routes than national legislation, according to a report

https://healthpayerintelligence.com/

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Value-Based Care in 2024: Navigating Trends, and Challenges

(2 days ago) WebAccording to a May 2023 Healthcare Payer Intelligence report, CMS recently reported successfully linking 90% of payments to value, and 40% of all …

https://healthedge.com/resources/blog/healthedge-horizons-value-based-care-in-2024

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Healthcare Analytics for Payers: A Roadmap

(5 days ago) WebA Healthcare Payer Analytics Strategy: Build a Roadmap to Manage Risk. A roadmap will help the payer navigate their own way through a minefield of potential risks …

https://www.healthcatalyst.com/insights/healthcare-analytics-payers-roadmap

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Payers Embrace Healthcare IT for Cost Optimization, Member …

(9 days ago) WebBy Victoria Bailey. December 04, 2023 - Payers are investing in healthcare IT resources to support cost optimization and improve member experience, according to a …

https://healthpayerintelligence.com/news/payers-embrace-healthcare-it-for-cost-optimization-member-engagement

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How Payers Unlock Healthcare Efficiency Through the Power of APIs

(6 days ago) WebFor payers that prioritize the needs of their members, providers, and internal staff, it is critical to capitalize on the potential of APIs to provide the necessary clarity, …

https://healthpayerintelligence.com/news/how-payers-unlock-healthcare-efficiency-through-the-power-of-apis

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Healthcare Market Intelligence Healthcare McKinsey

(7 days ago) WebHealthcare Market Intelligence aggregates healthcare-market-level data sets into a unified analytic experience so that organizations can uncover opportunities for improved access …

https://www.mckinsey.com/industries/healthcare/how-we-help-clients/healthcare-analytics/overview/healthcare-market-intelligence

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Payers focus on artificial intelligence and machine learning

(Just Now) WebSixty-four percent of health insurance executives report an accelerated adoption of digital health initiatives such as virtual health. Another 53% report an …

https://www.healthcarefinancenews.com/news/payers-focus-artificial-intelligence-and-machine-learning

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Provider markups on specialty drugs increased commercial …

(6 days ago) WebThe report reflects medical and pharmacy claims data for 19 million people from the 2021 MarketScan commercial data set. Among the top ten specialty drugs by …

https://healthpayerintelligence.com/news/provider-markups-on-specialty-drugs-increased-commercial-premiums

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Artificial Intelligence (AI) in Health Insurance Accenture

(2 days ago) WebUsing artificial intelligence (AI) to impact capability, culture and change, the Intelligent Payer can retain and attract talent, redefine traditional work and source innovation – and …

https://www.accenture.com/us-en/services/health/intelligent-health-payer

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Humana reports Medicare Advantage growth, income gains in Q1 …

(5 days ago) WebApril 25, 2024 - Humana added 50,000 individual Medicare Advantage beneficiaries and reported a net income of $741 million in the first quarter of 2024. The …

https://healthpayerintelligence.com/news/humana-reports-medicare-advantage-growth-income-gains-in-q1-2024

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News Archive for December 2020 - HealthPayerIntelligence

(3 days ago) WebPrivate Payer Spending Hits $1.2T in 2019 As Spending Growth Slows. Payer Gross Margins, Medical Loss Ratios Point to a Profitable 2020. Payers Will Improve Virtual …

https://healthpayerintelligence.com/news/archive/2020

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Can AI Manage High-cost Claims? Not Without Humans

(Just Now) WebApril 22, 2024 - High-cost, in-network claims are an ongoing challenge for providers and payers. These claims are often complex, demanding significant …

https://healthpayerintelligence.com/news/can-ai-manage-high-cost-claims-not-without-humans

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Artificial Intelligence for Digital Health Plans

(Just Now) WebWith a surge in innovation around artificial intelligence (AI), health plan leaders, industry solution providers, and researchers are focused on the potential impact …

https://healthedge.com/resources/blog/hrp-artificial-intelligence-for-digital-health-plans

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HealthPayerIntelligence: At-Home Testing Coverage for Medicare

(8 days ago) Webby Kelsey Waddill, HealthPayerIntelligence. In the first quarter of 2022, payers witnessed significant changes in at-home coronavirus testing coverage with …

https://achp.org/clip-healthpayerintelligence-at-home-testing-coverage-for-medicare-beneficiaries/

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How artificial intelligence can save health insurers $7 billion

(5 days ago) WebSusan Morse, Executive Editor. Insurers can save up to $7 billion over 18 months using technologies driven by artificial intelligence, according to an Accenture …

https://www.healthcarefinancenews.com/news/how-artificial-intelligence-can-save-health-insurers-7-billion

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Medicaid final rules improve care access for managed care, FFS

(6 days ago) WebApril 23, 2024 - CMS has finalized policies to improve access to Medicaid and the Children’s Health Insurance Program (CHIP) managed care and boost coverage …

https://healthpayerintelligence.com/news/medicaid-final-rules-improve-care-access-for-managed-care-ffs-beneficiaries

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Clover Quick Reference Guide

(4 days ago) WebChange Healthcare: Payer ID#: 77023 via mail: Clover Health P.O. Box 3236 Scranton, PA 18505 To find an in-network provider Provider Directory To view pre-authorization criteria …

https://www.cloverhealth.com/filer/file/1453950875/82/

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California talks universal health care … again - POLITICO

(4 days ago) WebEstablishing single-payer health care in the state has been a hard sell in the past, mainly because of the expensive price tag. Legislative analysts have estimated it …

https://www.politico.com/newsletters/california-playbook-pm/2024/04/23/california-talks-universal-health-care-again-00153962

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Generative A.I. Arrives in the Gene Editing World of CRISPR

(4 days ago) WebMuch as ChatGPT generates poetry, a new A.I. system devises blueprints for microscopic mechanisms that can edit your DNA. The physical structure of …

https://www.nytimes.com/2024/04/22/technology/generative-ai-gene-editing-crispr.html

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Payer ID Payer Name Comments - ABILITY Network

(2 days ago) WebPayer ID Payer Name Comments 11188 Bravo Health 13410 Bridgespan 13670 BRIGHT HEALTH PLAN MEDICARE 13411 Brokers National–Dental 13592 …

https://www.abilitynetwork.com/wp-content/uploads/2019/12/December_EligibilityPayer_List.pdf

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Clover Provider Quick Reference Guide - Clover Health

(2 days ago) WebInterconnect via Change Healthcare (formerly known as Emdeon). Payer ID#: 77023 TTY Access: 711 Mailing Address for Appeals & Grievances or Medical Management: Clover …

https://cdn.cloverhealth.com/filer_public/f2/37/f23723f0-8a62-41f5-936e-8fe3ec15be90/provider_quickreference_guide_v02.pdf

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U.S. Intelligence Believes Putin Probably Didn't Order Navalny to …

(1 days ago) WebLONDON (Reuters) -U.S. intelligence agencies have determined that Russian President Vladimir Putin probably didn't order opposition politician Alexei Navalny killed …

https://www.usnews.com/news/world/articles/2024-04-27/u-s-intelligence-believes-putin-probably-didnt-order-navalny-to-be-killed-wsj

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